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RMP Bi-State
RM 000 56

JULY/AUGUST 1974 REVIEW CYCLE:

 

During the May/June 1974 Review Cycle, the Bi-State RMP was awarded
$760,136 for the budget period 1/1/74-6/30/75.

The July 1 supplemental continuation grant application request

$472,458 for initiation of 16 new project activities. These activities
include health manpower (6), quality assurance (3), health care
accessibility-underserved (2), local planning, long-term care, kidney (2)
and hypertension. Project #'s 58 - Interdisciplinary Patient Care
Audit Model and -60 - Quality of Care Evaluation System, are being
reviewed by HSA - Bureau of Quality Assurance for conformance to PSRO
legislation.

 

 

On pages 19-21 of the application, the Bi-State RMP has attempted to
describe project sites and service areas by county in both Missouri
and I]linois.

DRMP received additional information regarding CHP review and comment.
The Alliance for Regional Community Health, Inc. (ARCH) has submitted
favorable comments.

MCO 7/15/74

 

 
 

 

MAY/JUNE 1974 REVIEW RMP —— Bi-State
Request: $1,129,608 RM 000 56
- Committee Recommendation: See Below

Overall Assessment by Individual Reviewers: Average to below average

 

Critique:

The reviewers were disturbed that the Program has not substantially
addressed the problems of accessibility and availability of care
except for EMS, nor have they addressed themselves to the needs of
minority groups with the exception of Project #55, Health Services
Recruitment of Minority Groups, nor to health delivery systems.

It was recognized that the Program was in a very difficult situation
because they are attempting to provide a program for the rural area
of Southern Illinois as well as the Metropolitan area in St. Louis.

 

The proposed two new project activities do not appear to conform with
the document entitled, "The Health Needs of Bi-State RMP Region as
identified by Joint RMP and CHP Planning Conference" which met in
February, 1974. Reviewers expressed hope that the new activities
proposed in the July 1 application will more adequately reflect upon
those identified needs.

Reviewers were surprised that the Bi-State RMP Regional Advisory Group .
had disbanded and had relinquished its responsibility to a 15-member
Executive Committee. Hope was expressed that a larger Regional

Advisory Committee should provide stronger leadership. Reviewers

rated Program leadership as minimally satisfactory.

Although reviewers did not recommend disapproval of Project #54 -
Graduate Follow-up Study, they were not in sympathy with this
particular activity.

 

Program staff performance was considered satisfactory. Reviewers

felt the Bi-State RMP Program Staff request for additional secretarial/
‘Clerical assistance is out of proportion to the professional staff
complement.

Recommendation:

1. Review Committee recommended $800,000 which is 63% of the target
and $329,608 under the requested amount.

2. Review Committee reaffirmed the November 1973 National Advisory
Council recommendation that membership of the Bi-State RMP Regional
Advisory Committee should be increased in size and become more
involved in the decision making-process.

JULY/AUGUST REVIEW:

| Estimated request as of May 1974: _ $410,000 MCO 6/4/74

 

NATIONAL ADVISORY COUNCIL - June 13-14, 1974 ------ 0 -
Council concurred with Committee recommendation.

 

DRMP funding decision - $760,136 MCO 7/2/74